The Case Management Acuity Scale is an evidence-based tool that helps case management teams determine the level of care, monitoring, and management that the client is likely to need at that point in their care. This tool will help identify clients who experience extreme difficulty with staying in care. The Acuity Scale was developed to respond to the evolving needs of clients living with HIV/AIDS, but it can be used to manage any chronic illness. With the acuity score the medical case manager can then place the client within an acuity level/management level, i.e., intensive, moderate, basic, and self-management. The…
Before I explain why Policy Change Notification (PCN) 21-02 compliments Ryan White Integrated Eligibility System (RWISE) I want to provide an overview of the guidance. In October 2021, the Health Resource and Services Administration (HRSA) HIV/AIDS Bureau (HAB) released Policy Change Notification (PCN) 21-02 which provided guidance for Ryan White HIV/AIDS Program (RWHAP) recipients and subrecipients for determining client eligibility and complying with the payor of last resort requirements. The PCN said that Ryan White recipients and subrecipients must establish, implement, and monitor policies and procedures to determine client eligibility based on the three eligibility requirements. Those three requirements are…
